Provider Demographics
NPI:1740566314
Name:BOIKO, KAREN SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:BOIKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4218 OAKDALE CT
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5063
Mailing Address - Country:US
Mailing Address - Phone:518-881-3678
Mailing Address - Fax:
Practice Address - Street 1:4218 OAKDALE CT
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5063
Practice Address - Country:US
Practice Address - Phone:518-881-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730431591041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool